Medicare Advantage PPO plans in South Carolina
There are 59 Medicare Advantage PPO plans in South Carolina from 8 carriers, averaging 4.06 out of 5 stars across the 59 plans CMS has rated. 74% of those with a published premium charge $0 a month (44 of 59); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 59 PPO plans in South Carolina that publish one, the in-network out-of-pocket maximum sits at $9,850 for most plans, which is also the highest in the state — the ceiling on what you pay in a year for covered in-network care. The mean is $8,836, which sits below the median — the spread is not symmetric, so the median is the better guide.
South Carolina has 4 five-star Medicare Advantage PPO plans.
Of the 59 PPO plans here, 4 carry CMS's top overall rating of 5 stars and 43 rate 4 or above. That matters beyond quality: a 5-star plan can be joined at almost any point in the year through a special enrollment period, rather than only during the autumn window.
South Carolina PPO plans rank 16th of 51 on star rating.
Across the 59 rated plans here the average overall rating is 4.06 stars, 16th highest of the 51 states with PPO plans. Ratings apply to the contract, so every plan a carrier files under one contract shares the same score.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Top-rated PPO plans in South Carolina
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| Clover Health LiveHealthy (PPO)Clover Health | 5★ | $9,850 | $0 |
| Clover Health LiveHealthy Giveback (PPO)Clover Health | 5★ | $9,850 | $0 |
| Clover Health Valor (PPO)Clover Health | 5★ | $9,850 | $0 |
| UHC Nursing Home Plan SC-F001 (PPO I-SNP)UnitedHealthcare · Institutional SNP | 5★ | $9,850 | $0 |
| UHC Dual Advantage SC-V1 (PPO D-SNP)UnitedHealthcare · Dual-Eligible SNP | 4.5★ | $6,400 | $7.30 |
Showing 5 of 59. See all South CarolinaMedicare Advantage plans →
PPO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| HumanaHumana Inc. | 20 | 4.1 | 4 |
| UnitedHealthcareUnitedHealth Group, Inc. | 10 | 4.3 | 7 |
| Devoted HealthDevoted Health, Inc. | 8 | 4.5 | 4 |
| Blue Cross Blue Shield of South CarolinaBlueCross BlueShield of South Carolina (BCBSSC) | 7 | 3.5 | — |
| Aetna MedicareCVS Health Corporation | 6 | 4.0 | — |
| Clover HealthClover Health Holdings, Inc. | 3 | 5.0 | — |
| HealthSpringHealth Care Service Corporation | 3 | 3.0 | — |
| WellcareCentene Corporation | 2 | 3.0 | — |
How PPO compares
States with similar PPO star ratings
South Carolina Medicare Advantage PPO plans, answered
How much do Medicare Advantage PPO plans cost in South Carolina?
What are the star ratings for South Carolina PPO plans?
How many Medicare Advantage PPO plans are available in South Carolina?
Do South Carolina PPO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in South Carolina?
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